Coffee administration to promote return of bowel function after small bowel resection: A randomized, controlled trial.

Conor Holland, Lynn Shaffer, Elliot Dobkin, Jamie Hall

Journal: American journal of surgery 2023;226(2):156-160

PMID: 37003891

Full Text on Elsevier Science View on PubMed

Abstract

BACKGROUND

Prolonged ileus occurs in 10%-24% of patients undergoing abdominal surgery. Several trials have found coffee administration reduces postoperative ileus, but this has not been evaluated for small bowel resection.

METHODS

Following small bowel resection, patients were randomized to caffeinated coffee or warm water three times a day until the time of first flatus or first bowel movement. Primary outcomes were time from end of procedure to: 1) nasogastric tube removal; and 2) when the discharge order was written. Outcomes were compared using Kaplan-Meier survival curves.

RESULTS

Thirty-nine patients received coffee and 40 water. Median days to nasogastric tube removal was 3.4 for the coffee and 4.0 for the water groups (p = 0.002). Median days to discharge order was 6.7 for the coffee and 7.7 for the water groups (p = 0.01).

CONCLUSION

Coffee was safe and decreased time to nasogastric tube removal and hospital stay in patients undergoing small bowel resection.

Address: Graduate Medical Education, Mount Carmel Grove City, 5300 North Meadows Drive, Grove City, OH, 43123, USA. Electronic address: [email protected].; Mount Carmel Research Institute, 5300 North Meadows Drive, Grove City, OH, 43123, USA.; Graduate Medical Education, Mount Carmel Grove City, 5300 North Meadows Drive, Grove City, OH, 43123, USA.

DOI: 10.1016/j.amjsurg.2023.03.026

Link outs

Subscription / membership required

Full Text Sources:

MeSH Terms: Humans, Coffee, Defecation, Intestines, Ileus, Digestive System Surgical Procedures, Postoperative Complications